Trauma of the Colon, Rectum, and Anus
Trauma of the Colon, Rectum, and Anus Eric K. Johnson Scott R. Steele Perioperative Considerations Diagnosis/Mechanism of Injury Colon and rectal injuries may occur in the setting of blunt, penetrating,…
Intraoperative Urology Consultation
Intraoperative Urology Consultation Hadley Wood Kenneth Angermeier Perioperative Considerations The distal third of the ureter, and more commonly the left-sided ureter, is most likely to be injured. Risk factors for…
Local Excision of Rectal Neoplasia
Local Excision of Rectal Neoplasia Anuradha R. Bhama David Maron Scott R. Steele Perioperative Considerations Indications for Surgical Treatment Goal of treatment is to completely remove the pathology en bloc…
Spinal and Orthopedic Considerations for Advanced Multivisceral Colorectal Cancer
Spinal and Orthopedic Considerations for Advanced Multivisceral Colorectal Cancer Lukas M. Nystrom Nathan W. Mesko Perioperative Considerations Indications/Contraindication Localized recurrence without evidence of distant disease—does this operation give the patient…
Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy Anthony Costales Robert Debernardo Preoperative Considerations The use of hyperthermic intraperitoneal chemotherapy (HIPEC) has been evaluated in a number of malignancies, and although each…
Approaching Presacral Tumors
Approaching Presacral Tumors Christy Cauley Michael A. Valente Perioperative Considerations Preoperative Evaluation History and examination Tumor location—“retrorectal space” (Fig. 30-1) FIGURE 30-1 ▪ The presacral space. The third sacral vertebral…
Intraoperative Radiation Therapy for Colorectal Cancer
Intraoperative Radiation Therapy for Colorectal Cancer Sudha R. Amarnath Perioperative Considerations Indications Intraoperative radiation therapy (IORT) can be used for patients being treated surgically in the definitive or recurrent setting…
The Difficult Splenic Flexure
The Difficult Splenic Flexure Sherief Shawki Perioperative Considerations To adequately mobilize the splenic flexure, the omental, splenic, lateral, and retroperitoneal (pancreatic-colic) attachments must all be dissected free. The splenic flexure…
Approaching the Transverse Colon
Approaching the Transverse Colon N. Arjun Jeganathan Jeremy M. Lipman Perioperative Consideration The transverse colon runs across the abdomen from the hepatic flexure to the splenic flexure. The transverse colon…
Rectovaginal Fistula
Rectovaginal Fistula Tracy Hull Perioperative Considerations One of the most important aspects when repairing an anorectovaginal fistula is evaluating the patient before considering the operative approach and procedure. The tissue…
